Individual
KRISTENA LEE GOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
3601 4TH ST, STE. 3A112, LUBBOCK, TX 79430-0002
(806) 743-2373
(806) 743-2113
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA00282
TX
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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